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CLEVELAND UROLOGY ASSOCIATES INC NPI 1265509053


NPI Information

NPI: 1265509053
Provider Name: CLEVELAND UROLOGY ASSOCIATES, INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 36D0725497

Address:
10500 ANTENUCCI BLVD.
101
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (440) 891-6500
Get Directions

CLEVELAND UROLOGY ASSOCIATES, INC is an urology in Garfield Heights, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CLEVELAND UROLOGY ASSOCIATES, INC NPI is 1265509053. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10500 ANTENUCCI BLVD.
101
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (440) 891-6500
Fax: (440) 891-1196

The provider's authorized official is Kalish R. Kedia .
The authorized official title is President and has the following contact phone number (440) 891-6500.

The CLIA number assigned to this NPI record is 36D0725497 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 10/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNo
2207ZH0000XPathologyHematologyNo
32085R0001XRadiologyRadiation OncologyNo
42088P0231XUrologyPediatric UrologyNo
5208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19254231MEDICARE PINOHIO
20964390MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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